Question 1

What is HCPCS code G8703?

Accepted Answer

HCPCS code G8703 is "Antibiotics not prior surg". Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively

Question 2

What category is G8703 in?

Accepted Answer

G8703 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8703?

Accepted Answer

Use G8703 when billing for antibiotics not prior surg. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G8703 covered by Medicare?

Accepted Answer

Coverage for G8703 (Antibiotics not prior surg) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G8703?

Accepted Answer

Documentation for G8703 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).